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Description Responsibilities The SIU and PPI Lab review team is seeking a Medical Coding Auditor with a special set of skills. This person will focus on coding and clinical review of ..
... environment for all. Responsibilities The Nurse Practitioner (NP) works in our ... professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist, quality based coder, referral coordinator ... This..
Description The RN Clinical team is looking for a ... looking for a dynamic Registered Nurse to join the team working ... will be someone who applies clinical and coding..
Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Minneapolis Minnesota Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..
... documentation of patient information.Coordinate Charge Nurse duties with Staff RNs acting ... in the Technical Services Manual.Complete Nurse's Technical Training Program/Water Quality Facility ... months of specialized experience providing..
... to grow, the National Medicaid Clinical Operations team is expanding our ... services organization to enhance the clinical delivery process. The National Medicaid ... The National Medicaid Director of..
Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..
... development, you will consult with clinical, R&D, medical education, marketing and ... the GFTD Team during the clinical trial phase all the way ... You will maintain the highest..
... seeking driven individuals in both clinical and non-clinical areas to help transform health ... seeking driven individuals in both clinical and non-clinical areas to help transform health ... and..
Description Humana is seeking a Prior Authorization RN to join the Wisconsin Medicaid Market (iCare) team. This position reviews the clinical appropriateness of prior authorization (PA) requests and ensures that all ..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... administration determinations. The Utilization Management Nurse 2 work assignments are varied ... and by leader. Utilization..
... Responsibilities Be part of our Clinical Support Team - Humana is ... - Humana is seeking a Clinical Consultant who will be accountable ... results. Humana is seeking a..